Bellarose Nursing and Rehab Center Inc

Enrollment entity
Provider / enrollment organization Enrollment PAC 7012276041 Enrollment ID O20180118002600

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 0 organizations · 10 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Kisa Willis Evans3577474972Individual5% or Greater Direct Ownership Interest; Corporate Officer; W-2 Managing Employee12.5
Robert Gregory Evans0749197705Individual5% or Greater Direct Ownership Interest; Corporate Officer; W-2 Managing Employee12.5
Justin Dixon6800044074IndividualW-2 Managing Employee; Operational/Managerial Control
William Burroughs9234312844IndividualW-2 Managing Employee; Operational/Managerial Control
Sandra Richardson5193084127IndividualW-2 Managing Employee; Operational/Managerial Control
Debbie Evans Sherrill2567379522Individual5% or Greater Direct Ownership Interest25
Riley Sarkey Evans2769393164Individual5% or Greater Direct Ownership Interest; Corporate Officer12.5
Toni Corey Evans9032020433Individual5% or Greater Direct Ownership Interest; Corporate Officer12.5
Rosemary Evans Miller1658288618Individual5% or Greater Direct Ownership Interest
William Blue Miller8123939527Individual5% or Greater Direct Ownership Interest

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Bellarose Nursing And Rehab
Bellarose Nursing and Rehab Center Inc
92 residents
Other disclo…
4.46Ovr★★★★★Stf★★★★Ins★★★★★QM★★★☆☆92
  • Bellarose Nursing and Rehab Center Inc
    Other disclosed role92 res4.46 HPRD
    Overall 5Staffing Staff 4
Related CMS associates

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Name match to Bellarose Nursing and Rehab Center Inc in FEC filings. Similar names may appear—confirm on FEC.gov.